Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05998 | Date 29/07/2019 |
| Token No | SM/19-20/7537 29/07/2019 | Serial | 073 Last Visit: 29/07/2019 |
| Patient Name | Mr. SRIKANTA DAS | Contact No | 9339961820 |
| Address | 13 RAJA K.L GOSWANI STREET SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||